Group differences in normal neuropsychological test performance for older non-Hispanic White and Black/African American adults.

Group differences in normal neuropsychological test performance for older non-Hispanic White and Black/African American adults.
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老年非西班牙裔白人和黑人/非裔美国人正常神经心理学测试表现的群体差异。

DOI:
10.1037/neu0000579
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发表时间:
2019
期刊:
影响因子:
2.4
通讯作者:
Bergström,Björn
Bergström,Björn
中科院分区:
心理学3区
文献类型:
--
作者:
Werry,AmyE;Daniel,Michael;Bergström,Björn

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虽然研究人员已经记录了文化因素对神经心理测试成绩的影响,但很少有研究调查不同种族神经健康老年人的测试成绩分布。本研究的目的是确定非西班牙裔白人和黑人/非洲裔美国老年人的神经心理测试分数分布是否存在种族特定规范的组差异。方法从国家阿尔茨海默病协调中心选取5年内未被诊断为痴呆症的参与者(M年龄= 75.26,SD年龄= 6.98;M教育程度= 15.70,SD教育程度= 2.91)。根据自我认同的白人(n= 5311)或黑人/非裔美国人(n= 1098)组成小组。所有参与者完成了神经心理测试,包括迷你心理状态测试、逻辑记忆即时和延迟、数字广度向前和向后、轨迹制作测试A和B、动物命名、蔬菜命名、数字符号和波士顿命名测试。结果在综合种族标准的基础上,黑人受试者在低于平均水平和低平均水平的临床范围内的得分被高估,而白人受试者在所有11项神经心理测量的高平均水平和高平均水平的临床范围内的得分被高估。当使用组特定规范时,评分分类的不平衡模式不再存在于任何神经心理学测量中。这些发现强调了开发和使用符合种族和文化的神经心理测试规范的重要性,以及将一些黑人个体的分数解释为低于平均水平的风险,而实际上他们可能不是。
ObjectiveAlthough researchers have documented the influence of cultural factors on neuropsychological test performance, few studies have examined the distribution of test scores among neurologically healthy older adults from different ethnic groups. The objective of this study was to determine whether there are group differences in neuropsychological test score distributions with ethnicity-specific norms for non-Hispanic White and Black/African American older adults.MethodParticipants from the National Alzheimer’s Coordinating Center were selected if they were not diagnosed with dementia within 5 years (M age= 75.26, SD age= 6.98; M education= 15.70, SD education= 2.91). Groups were formed based on self-identified ethnicity of White (n= 5,311) or Black/African American (n= 1,098). All participants completed neuropsychological testing, including the Mini Mental State Exam, Logical Memory Immediate and Delayed, Digit Span Forward and Backward, Trail Making Test A & B, Animal Naming, Vegetable Naming, Digit Symbol, and Boston Naming Test.ResultsBased on combined ethnicity norms, the scores of Black participants were overrepresented in the below-average and low-average clinical ranges, and the scores of White participants were overrepresented in the high-average and superior clinical ranges for all 11 neuropsychological measures. When group specific norms were used, the unbalanced pattern of score categorization was no longer present for any of the neuropsychological measures.ConclusionsThese findings emphasize the importance of developing and using ethnically and culturally appropriate neuropsychological test norms as well as the risk of interpreting some Black individual’s scores as below average when they likely are not.
文化和智慧。
DOI: 10.1037/0003-066x.59.5.325
发表时间: 2004
期刊: The American psychologist
影响因子: --
作者:
R. Sternberg
通讯作者: R. Sternberg
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DOI: 10.1037/a0037530
发表时间: 2015
影响因子: 3.3
作者:
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发表时间: 2005-06-01
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发表时间: 2005-01-01
影响因子: --
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DOI: 10.1016/j.acn.2007.01.006
发表时间: 2007-03-01
影响因子: 2.6
作者:
Manly, Jennifer J.;Echemendia, Ruben J.
通讯作者: Echemendia, Ruben J.